Katarzyna Konopka Mooney, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

630 Crane Creek Dr Ste 106
Augusta, GA 30907-0004

Phone

(626) 854-2777

Fax

(762) 685-4275

NPI assigned

Aug 22, 2018

Last updated

Nov 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proactive Rehabilitation and Wellness LLCGroup PAC ID 7517387095, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Proactive Rehabilitation & Wellness LLC

  • Occupational Therapist
  • Augusta, GA
  • NPI 1518577733
  Care Compare group
• PT Solutions of Acworth LLC

  • Physical Therapist
  • Augusta, GA
  • NPI 1245908557
  NPD
• PT Solutions of Acworth, LLC

  • Physical Therapist
  • Athens, GA
  • NPI 1144772625
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1396226098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CIRCLE 75 PKWY SE STE 1400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393067",
            "telephone_number": "678-981-3543",
            "fax_number": "404-777-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 CRANE CREEK DR STE 106",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309070004",
            "telephone_number": "626-854-2777",
            "fax_number": "762-685-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "KATARZYNA",
        "middle_name": "KONOPKA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PT LICENSE",
            "identifier": "PT013564",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Pamela Moody
• Christopher Michael Moon, PA
• June Young Moon, MD
• Kamarin Moon, DMD
• Kellie Jiwon Moon, MD
• Ryan Patrick Mooneyham, DDS
• Mooneys Shoes
• Debra Tanece Moore-Hill, M.D.
• Aubrey Lee Moore III, PH.D.
• Carrington Montana Moore, MD

• Physical Therapist in Augusta, GA
• Providers in Augusta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.